foot
SN instructed the patient on good diabetic foot care and assessment as follows: using a handheld mirror if needed assess feet daily to include in between toes. Never cut toenails or file down calluses. Only a podiatrist should do this. Report any blisters, cracks, wounds or any other concerns to your podiatrist immediately. Wash and lotion feet very well daily. Do not lotion between toes as this may cause maceration and cause skin breakdown. Recommended wearing diabetic socks. Always wear good fitting shoes. Preferably tailor-made for the patient. Never walk around barefoot.
Instructed patient about not using OTC chemicals on corns, calluses or warts since they are often too strong to use in diabetics.
Instructed patient to avoid cutting corn or calluses.
Instructed patient to wear flat; comfortable walking shoes as much as possible and select adequate socks.
Instructed patient on never walking barefoot to prevent cuts and burns and also to wear sleepers at night when getting up.
Instructed patient to cut the toenails straight across and file the edges, don't rip off hangnails.
Instructed patient about basic tips to help prevent infections in people with diabetes: wear shoes or slippers at all times, wear comfortable shoes; get used to new shoes slowly and always wear 'heavy' soft cotton socks.
Instructed patient to keep feet dry, especially between toes, to use lotion to keep skin soft and moist and to keep feet clean. Wash daily with lukewarm water.
Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.
Instructed patient to never go barefoot or wear thigh garters. Do not wear thigh worn boots for long periods of times. Never let feet get dry and cracked, severe infections may develop. Do not use hot water pads, iodine, hot water bottles or rubbing alcohol. Never use razors, knives or corn remedies.